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"Korzekwa, Małgorzata"
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Results of endovascular treatment of aneurysms depending on their size, volume and coil packing density
by
Zbroszczyk, Miłosz
,
Knap, Daniel
,
Baron, Jan
in
Aged
,
Aneurysms
,
Angiography, Digital Subtraction - methods
2013
In contrast to neurosurgery, which is more efficient, endovascular treatment (EVT) is less invasive. The main purpose of EVT is complete occlusion of the aneurysm and protection from subarachnoid haemorrhage. Accurate measurements of the aneurysm (size, volume) obtained using a 3D digital subtraction angiography (DSA) workstation can assist in the proper assessment of coil packing density (CPD), which affects possible distant recanalization. The main disadvantage of endovascular treatment of intracranial aneurysms compared to neurosurgery is the high recurrence rate. We evaluated the results of endovascular treatment of aneurysms depending on their size, volume and coil packing density.
Thirty-five patients with intracranial aneurysms underwent endovascular embolization with bare platinum coils. Three-dimensional DSA was used to evaluate aneurysms’ morphology. Eighteen patients underwent 3D DSA follow-up 6-45 months after treatment. Initial and follow-up results of embolization were assessed with the Raymond-Montreal scale. The impact of aneurysms’ morphology, volume and initial CPD on endovascular treatment was evaluated.
Among 35 patients, complete initial embolization was achieved in 74%. Mean initial aneurysm volume in 3D DSA was 0.517 mL and decreased significantly after embolization. Initial CPD varied from 74% to 2% depending on aneurysm diameter (12.1% for aneurysms ≥ 10 mm, 22.5% for aneurysms < 10 mm). Results of embolization on the Raymond-Montreal scale significantly depended on aneurysms’ CPD. Aneurysms’ recanalization rate on 3D DSA follow-up was 36%, with complete recanalization in 3.3%.
We can achieve a better outcome if size and volume of the aneurysm sac is smaller and if CPD is higher.
Chirurgiczne zabezpieczenie tętniaka za pomocą klipsa skuteczniej zapobiega rekanalizacji, ale leczenie wewnątrznaczyniowe (endovascular treatment – EVT) jest mniej inwazyjne. Głównym celem EVT jest całkowita okluzja tętniaka wewnątrzczaszkowego i zapobieganie krwotokowi podpajęczynówkowemu. Największą wadą leczenia wewnątrznaczyniowego w porównaniu z neurochirurgicznym klipsowaniem jest duża częstość rekanalizacji. Celem pracy było porównanie wyników leczenia wewnątrznaczyniowego tętniaków według skali Montreal w zależności od wielkości tętniaka, objętości worka tętniaka i gęstości wypełnienia spiralami (coil packing density – CPD).
Zabieg EVT wykonano u 35 pacjentów z tętniakami wewnątrzczaszkowymi. Morfologia oraz objętość tętniaków zostały wyliczone przy użyciu stacji roboczej 3D DSA. U każdego pacjenta z wykorzystaniem komercyjnego oprogramowania wyliczono CPD w tętniaku. U 18 pacjentów przeprowadzono kontrolne badanie 3D DSA po upływie 6–45 miesięcy. Wyniki oceniano w skali Raymond-Montreal bezpośrednio po zabiegu i w badaniu kontrolnym.
Wśród 35 pacjentów całkowitą wstępną embolizację osiągnięto u 74% osób. Wstępna średnia objętość tętniaka w 3D DSA wynosiła 0,517 ml i zmniejszyła się istotnie po embolizacji (p = 0,017). Wyjściowo po embolizacji CPD wahała się od 2% do 74% w zależności od objętości tętniaka (średnio 12,1% dla tętniaków ≥ 10 mm i 22,5% dla tętniaków < 10 mm). Wyniki embolizacji w skali Raymond-Montreal istotnie statystycznie zależały od CPD. Częściowa rekanalizacja w badaniu kontrolnym dotyczyła 36% pacjentów (w tym u 3,3% obserwowano całkowitą rekanalizację).
Im mniejszy tętniak i objętość worka oraz im większa CPD, tym lepszy wynik końcowy (tzn. niższa klasa w skali Montreal).
Journal Article
How Is Arachidonic Acid Metabolism in the Uterus Connected with the Immune Status of Red Deer Females (Cervus elaphus L.) in Different Reproductive Stages?
by
Korzekwa, Anna J.
,
Kotula-Balak, Małgorzata
,
Kotlarczyk, Angelika M.
in
Acids
,
Animals
,
Arachidonic acid
2023
Reproductive and condition parameters’ dependency on immune status in seasonally reproducing ruminants such as red deer have not been outlined to date. We determined T and B blood lymphocytes; the concentration of IgG, cAMP, haptoglobulin, and 6-keto-PGF1α in blood plasma; and the mRNA and protein expression of PG endoperoxide synthase 2, 5-lipoxygenase, PGE2 synthase (PGES), PGF2α synthase (PGFS), PGI2 synthase (PGIS), leukotriene (LT)A4 hydrolase, and LTC4 synthase (LTC4S) in the uterine endo- and myometrium, on the 4th (N = 7) and 13th (N = 8) days of the estrous cycle, in anestrus (N = 6) and pregnancy (N = 8) in hinds. An increase in CD4+ T regulatory lymphocyte percentage during the estrous cycle and anestrus compared with pregnancy was recorded; the opposite effect was observed for CD21+ B cells (p < 0.05). cAMP and haptoglobin concentration were elevated during the cycle, as was IgG on the fourth day of the cycle, whereas 6-keto-PGF1α concentration was the highest in pregnancy, and the nearest in anestrus similarly were LTC4S, PGES, PGFS, and PGIS protein expression in the endometrium (p < 0.05). We showed an interaction between the immune system activation and AA-metabolite production in the uterus throughout different reproductive stages. IgG, cAMP, haptoglobin, and 6-keto-PGF1α concentrations are valuable candidates for markers of reproductive status in hinds. The results help expand our knowledge of the mechanisms underlying seasonal reproduction in ruminants.
Journal Article
Identification of Hyalomma Ticks on Migratory Birds in Poland During the 2023 and 2024 Spring Seasons
by
Górski, Paweł
,
Obuch-Woszczatyńska, Oliwia
,
Rapczyński, Jan
in
Arachnids
,
Bird migration
,
CCHFV
2025
Ticks from the Hyalomma genus have recently garnered public attention in countries in Northern and Central Europe, as they are transported by migratory birds and might have established stable populations due to climate warming. The main threat associated with Hyalomma ticks is their ability to transmit Crimean–Congo hemorrhagic fever virus (CCHFV), which can be fatal in up to 40% of cases. Here, we collected Hyalomma ticks from migratory birds during annual ringing actions in the spring seasons of 2023 and 2024. Four ticks were found on birds from the Acrocephalus genus and two on Hippolais icterina. The ticks were examined for the presence of Rickettsia spp., Babesia microti, Babesia divergens, Coxiella burnetii, Borreliella burgdorferi (s. l.), Anaplasma phagocytophilum, West Nile virus, and CCHF virus (CCHFV). The collected H. rufipes specimens were negative for tested pathogens, except for two ticks collected in 2024, which were positive for Rickettsia aeschlimannii. The data show that Hyalomma ticks are efficiently transported on birds preferring reedbeds or deciduous trees. The possibility of the occurrence of CCHF or rickettsiosis (induced by R. aeschlimannii) is currently assessed as low. Nevertheless, we have shown the transfer of Hyalomma ticks to Poland and indicated the need for careful future epidemiological monitoring of the presence of Hyalomma ticks.
Journal Article
Long-term biological surveillance of SARS-CoV-2 in critical points for municipal sewage catchment in light of wastewater-based epidemiology, public health and environmental hygiene
by
Lepionka, Tomasz
,
Bisak, Agnieszka
,
Obuch-Woszczatyńska, Oliwia
in
Agglomeration
,
COVID-19
,
COVID-19 - epidemiology
2025
Routine monitoring and wastewater-based bio-surveillance represents a strong supporting tool for following and understanding SARS-CoV-2 endemicity or epidemic dynamics in society. The main objective of the research was a two-year qualitative and quantitative monitoring program of SARS-CoV-2 in sewage in a model urban agglomeration (the capital city), including the development of an algorithm for action in this area and a joint evaluation of procedures with a water and sewage company (public administration sector). To resolve problems, we continuously investigated inflows and outflows of four wastewater treatment plants and raw sewage of the whole catchment (including healthcare units, airport and military areas) within the Warsaw capital city for SARS-CoV-2, during two waves of COVID-19 in 2023 and 2024. The screening was performed by RT-qPCR (N1, N2, E probes) and NGS metagenomics analysis. The average cumulative load of the virus in sewage for the whole tested period was 3.5 × 10
genomic copies per litre. The highest load was found for wastewater inflows and the lowest one was found for housing estates and wastewater outflows. Higher viral concentrations in the wastewater than expected in medical records suggested a higher number of undiagnosed COVID-19 infections within the community. The obtained genotypes segregated within 11 clades (21I to 24 F), making '23 and '24 waves distinguishable. We consider our results and methodological approaches hold significant potential for public health, with particular emphasis on the needs of the Directive (EU) 2024/3019 of the European Parliament and of the Council.
Journal Article
Implication of Membrane Androgen Receptor (ZIP9) in Cell Senescence in Regressed Testes of the Bank Vole
by
Kotula-Balak, Małgorzata
,
Tarasiuk, Kazimierz
,
Hejmej, Anna
in
Animals
,
Arvicolinae
,
Cellular Senescence
2020
Here, we studied the impact of exposure to short daylight conditions on the expression of senescence marker (p16), membrane androgen receptor (ZIP9) and extracellular signal-regulated kinase (ERK 1/2), as well as cyclic AMP (cAMP) and testosterone levels in the testes of mature bank voles. Animals were assigned to groups based on an analysis of testis diameter, weight, seminiferous tubule diameter and the interstitial tissue area: group 1, not fully regressed (the highest parameters); group 2 (medium parameters); or group 3, regressed (the lowest parameters). Cells positive for p16 were observed only in the seminiferous tubule epithelium. However, in groups 1 and 2, these were mostly cells sloughed into the tubule lumen. In group 3, senescent cells resided in between cells of the seminiferous epithelium. Staining for ZIP9 was found in Sertoli cells. Western blot analysis showed a trend towards a decreased expression of p16 and ZIP9 in the testes of the voles in groups 2 and 3, compared to group 1. In addition, a trend towards an increased expression of ERK, as well as an increase of cAMP and testosterone levels, was revealed in group 2. In the regressed testes, a functional link exists between senescence and androgen levels with implication of ZIP9 and cAMP/ERK signaling pathways.
Journal Article
Parasites in Sewage: Legal Requirements and Diagnostic Tools
by
Krzyżowska, Małgorzata
,
Obuch-Woszczatyńska, Oliwia
,
Bylińska, Klaudia
in
Agricultural wastes
,
Animals
,
Aquaculture
2025
Despite the vast amount of water on Earth, only a small percent is suitable for consumption, and these resources are diminishing. Moreover, water resources are unevenly distributed, leading to significant disparities in access to drinking water between countries and populations. Increasing consumption and the expanding human population necessitate the development of novel wastewater treatment technologies and the use of water treatment byproducts in other areas, such as fertilisers. However, water treatment sludge often cannot be used to enhance crop production due to the presence of parasite eggs, particularly from roundworms (Ascaridae family), which are resistant to environmental factors and can pose a threat for several years. Legislation prohibits the use of sludge containing parasite eggs as fertiliser. In some cases, water may not contain parasite eggs but larvae, which require different detection methods. Additionally, the presence of eggs does not necessarily indicate danger since they may lose infectivity due to prolonged storage or exposure to chemical compounds in the sewage. This paper reviews European Union regulations on wastewater treatment, the selected parasitic diseases related to the presence of parasites in wastewater, the spectrum of detection methods, and highlights differences in viability and invasiveness, which is intended to draw attention to the need to determine both biological properties of parasites.
Journal Article
The Prolonged Treatment of Salmonella enterica Strains with Human Serum Effects in Phenotype Related to Virulence
by
Steczkiewicz, Małgorzata
,
Futoma-Kołoch, Bożena
,
Małaszczuk, Michał
in
Animals
,
Anti-Bacterial Agents - pharmacology
,
Disinfectants - pharmacology
2023
Salmonella enterica as common pathogens of humans and animals are good model organisms to conduct research on bacterial biology. Because these bacteria can multiply in both the external environments and in the living hosts, they prove their wide adaptability. It has been previously demonstrated that prolonged exposition of Salmonella serotype O48 cells to normal human serum led to an increase in resistance to sera in connection with the synthesis of very long O-antigen. In this work, we have studied the phenotype connected to virulence of Salmonella enterica strains that were subjected to consecutive passages in 50% human serum from platelet-poor plasma (SPPP). We found that eight passages in SPPP may not be enough for the bacteria to become serum-resistant (S. Typhimurium ATCC 14028, S. Senftenberg). Moreover, C1q and C3c complement components bound to Salmonellae (S. Typhimurium ATCC 14028, S. Hammonia) membrane proteins, which composition has been changed after passaging in sera. Interestingly, passages in SPPP generated genetic changes within gene fljB, which translated to cells’ motility (S. Typhimurium ATCC 14028, S. Erlangen). One strain, S. Hammonia exposed to a serum developed a multi-drug resistance (MDR) phenotype and two S. Isaszeg and S. Erlangen tolerance to disinfectants containing quaternary ammonium salts (QAS). Furthermore, colonial morphotypes of the serum adaptants were similar to those produced by starter cultures. These observations suggest that overcoming stressful conditions is manifested on many levels. Despite great phenotypic diversity occurring after prolonged exposition to SPPP, morphotypes of colonies remained unchanged in basic media. This work is an example in which stable morphotypes distinguished by altered virulence can be confusing during laboratory work with life-threatening strains.
Journal Article
Probabilistic assessment of the intake of trace elements by consumption of red deer (Cervus elaphus) and wild boar (Sus scrofa) meat
by
Sevillano Morales, Jesús
,
Cámara-Martos, F
,
Sevillano-Caño, Jesús
in
Animals
,
Deer
,
dietary intake
2023
The aim of this work was to study the nutritional value of game meat through the fulfillments of Dietary Reference Intakes (DRI) for trace elements (Co, Cr, Cu, Fe, Ni, Se, and Zn). A probabilistic model (@Risk) was developed based on the consumption data of hunter-consumers obtained from a previously published survey. Two game species widely consumed in Europe were selected: red deer (Cervus elaphus) and wild boar (Sus scrofa). Red deer muscle had the highest content of Cr (0.25 mg/kg) and Zn (44.3 mg/kg) and wild boar muscle recorded the highest Cu (2.23 mg/kg), Ni (0.60 mg/kg), and Se (0.19 mg/kg), showing statistically significant differences between the two species for these elements. No statistically significant differences were found for Fe between both game species (red deer: 52.9 mg/kg and wild boar: 53.3 mg/kg). Co content in this kind of meat was negligible for both species. The results obtained from the simulation of the probabilistic model with red deer indicated that a consumption once per week of this meat fulfills Cr, Fe, and Zn DRIs for the 95th percentile in hunter-consumers. Regarding wild boar, the values obtained also fulfill the Fe DRI and were between 61 and 75% for the rest of the trace elements analyzed.
Journal Article
Neglected Genetic Coefficients for Bacterial Diversity as a Supporting Tool for Public Health and Wastewater-Based Epidemiology
by
Krzyżowska, Małgorzata
,
Obuch-Woszczatyńska, Oliwia
,
Korzekwa, Karol
in
Algorithms
,
Bacteria
,
Bacterial genetics
2026
In the review, the collection of population genetics papers from 1973 to 2025 comprises 400 publications, 81 of which were significant and consulted with representatives from water and sewage companies. Reviewed Proteobacteria (mean HS = 0.42), Firmicutes (mean HS = 0.43), Actinobacteria (mean HS = 0.33), and Spirochaetes (mean HS = 0.54) represent the 60 species under investigation through the lens of “h” coefficients related to gene diversity and expected heterozygosity. The research also included ESKAPE, emerging pathogens, bacterial indicators of wastewater treatment efficiency, environmental sanitary surveillance and public health. The restoration of the expected heterozygosity for haploids “h” was proposed in wastewater-based epidemiology as an innovative tool for public health. The unique “h” coefficient allows for the comparison of genetic variability in various organisms, regardless of their ploidy, using multiple markers and traits. The parameter represents a noble character for both the variability of phenotypes (proteins) and genotypes (nucleic acids). Leveraging the genetic diversity highlighted by the “h” coefficient can support wastewater-based epidemiology, offering the ability to predict the stages and trajectories of disease outbreaks.
Journal Article